Organization
MARK HALL NURSE PRACTITIONER IN PSYCHIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK HALL NP (OWNER/MEMBER)
(646) 500-8627
Entity
Organization
Contact information
Practice address
1115 BROADWAY STE 1108, NEW YORK, NY 10010-3450
(646) 500-8627
Mailing address
55 W 92ND ST APT 2B, NEW YORK, NY 10025-7628
(646) 500-8627
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/27/2018
Last updated
09/23/2023
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